Prevalence Of Coronary Artery Disease and Its Association with Various Risk Factors in Rural Area of Nagpur
Keywords:
Alcohol, CAD, CHD, Hypertension, Obesity, SmokingAbstract
Introduction: Several factors appear likely to have contributed to the acceleration of CHD epidemic in India like demographic transition to an older population, as a result of increasing life expectancy and confluence of both conventional risk factors and non-conventional risk factors in Indians.
Material and methods: It was a cross-sectional study, carried out in three villages of a PHC. A total of 3771 study subjects aged 15 years and above were included in the study. It was conducted from July 2007 to December 2009. We examined the prevalence of CHD using WHO Rose Angina questionnaire and various risk factors of NCDs in central part of India using the WHO STEP approach.
Results: Prevalence of Coronary heart disease (affirmative response to ROSE questionnaire) among the study subject was 226 (6.0 %). In males it was 123 (6.3 %) while in females it was 103 (5.7 %). This difference was not found to be statistically significant (c2=0.529, df=1, P= 0.467).
Conclusion: Risk factors for coronary heart disease which were higher among males were Smoking, smokeless tobacco and alcohol consumption. While hypertension, Obesity (BMI≥25kg/m2), sedentary type of physical activity, low fruits and vegetable consumption were the risk factors which were higher among females.
References
Alberti G. Noncommunicable diseases: tomorrow's pan-demics (Editorial). Bull World Health Organ 2001; 79 (10):907.
Anand K, Shah B, Gupta V, Khaparde K, Pau E, Menon GR, Kapoor SK. Risk factors for non-communicable dis-ease in urban Haryana: a study using the STEPS ap-proach. Indian Heart J. 2008 Jan-Feb; 60(1):9-18.
Aoyagi K, Kusano Y, Takamura N et al. Obesity and cardiovascular risk factors among men and women aged 40 years and older in a rural area of Japan. J Physiol An-thropol 2006; 25(6):371-375. Sited from URL:http://www.jstage.jst.go.jp/browse/jpa2.
Arvind K, Sandeep G, Hem Lata G et al. Indian journal of Community Medicine 2005; 7(2): 61-63 .
Azizi F, Esmeillzadeh A, Mirmirran P. Obesity and car-diovascular disease risk factors in Tehran adults: a pop-ulation-based study. Eastern Mediterranean Health Jour-nal 2004; 10(6):887-897.
Bala D V, Bodiwala ILA N, Patel D D, Shah P M. Epi-demiological Determinants of Tobacco Use In Gujarat State, India. . Indian Journal of Community Medicine , 2006; 31( 3):173-76
Bhardwaj R, Kandoria A, Marwah R et al. Prevalence of hypertension in a rural community of North India. Indian Heart J 2005; 57:543-554.
Canner PL, Brown PM. Nutrition: Concept and Contro-versies, 8th edition. USA: Elsevier Publication, 2000.
AIIMS. Alcohol consumption in India: a cross sectional study. Mohan D, Anita, Chopara, Dept. of Psychiatry and drug dependence treatment centre, New Delhi. 2000.
Rose G A . The diagnosis of Ischemic heart disease and intermittent cluadication in field studies. Bulletin world health organization. 1962 ; 27 : 645-658
World Health Organization. WHO STEP wise approach to surveillance of non-communicable diseases (STEPS) Non-communicable Diseases and Mental Health, WHO/NMH/CCS/03.01. Geneva: WHO, 2003.
Rao KV. Biostatistics: a manual of statistical methods for use in health, nutrition and anthropology, 2nd edition. New Delhi: Jaypee Brothers Medical Publishers, 2007.
Kamili MA, Dar IH, Ali G. Prevalence of Coronary Heart Disease in Kashmiris. Indian Heart J 2007; 59: 44–49.
Chow C, Cardona M. Cardiovascular disease and risk factors among 345 adults in rural India--the Andhra Pradesh Rural Health Initiative. Int J Cardiol. 2007 Mar 20; 116(2):180-5.
Singh RB, Sharma JP. Social class and coronary disease in rural population of north India. The Indian Social Class and Heart Survey. Eur Heart J. 1997 Nov;18(11):1728-35.
Gupta R, Prakash H, Gupta VP. Prevalence and determi-nants of coronary heart disease in a rural population of India. J Clin Epidemiol. 1997 Feb; 50(2):203-9.
Gupta R, H Prakash, Mudliyar S et al.Prevalence of coro-nary heart disese and coronary risk factors in an urban population of Rajasthan. Indian Heart Journal, 1995; 47:331-338.
Singh RB, Niaz MA, Ghosh S et al. Epidemiological study of coronary artery disease and its risk factors in an elderly urban population of north India. J Am Coll Nutr. 1995 Dec; 14(6):628-34.
Kutty VR, Balakrishnan KG, Jayasree AK et al. Preva-lence of coronary heart disease in the rural population of Thiruvananthapuram district, Kerala, India. Int J Cardi-ol. 1993 Apr; 39(1):59-70.
Mandal S, Saha J B et al. Prevalence of ischemic heart disease among urban population of Siliguri, West Ben-gal. Indian journal of Community Medicine. 2009; 34(1): 19-23.
Kumar R, Megha C S. Urbanization and Coronary Heart Disease: A Study of Urban–Rural Differences in Northern India. Indian Heart J 2006; 58: 126–130.
Maxcy Rosenau last. Public health and Preventive medi-cine. 15th edition, Mc Graw Hill Publication 2008.
Gupta R. Lifestyle risk factors and coronary heart disease prevalence in Indian men. J Assoc Physicians India. 1996 Oct; 44(10):689-93.
Singh R B, Sharma J P, Rastogi V et al. Social class and coronary disease in a rural population of north India. Eu-ropean Heart Journal 1997; 18: 588-595.
Gupt R, Prakash H, Majumdar S et al. Prevalence of Coronary Heart Disease and coronary risk factors in an urban population of Rajasthan. Indian Heart J 1995; 47: 331-338.
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